Mercer County Community College Summer Sports Camps
Before-Care / After-Care Registration Form 2014

Print this form.  Mail the signed, completed form with full payment to:

Athletics Department
Mercer County Community College
P.O. Box 17202
Trenton, NJ 08690

Full payment must accompany registration.

Camper's
Last Name
First Name
Camper's S.S. # Home Phone
Street Business Phone
City Male or Female?
State & Zip
In the SELECT columns, mark the section(s) you wish to register the camper for:
Before-Care
7:30 - 9 a.m.
Section SELECT Days Cost
110752 June 23-27 $50
110753 June 30 - July 3 $50
110754 July 7-11 $50
110755 July 14-18 $50
110999 July 21-25 $50
111000 July 28 - August 1 $50
111001 August 4-8 $50
111002 August 11-15 $50
Before-Care Total $
  After-Care
4 - 6 p.m.
Section SELECT Days Cost
110756 June 23-27 $70
110757 June 30 - July 3 $70
110758 July 7-11 $70
110759 July 14-18 $70
111003 July 21-25 $70
111004 July 28 - August 1 $70
111005 August 4-8 $70
111006 August 11-15 $70
After-Care Total $

Method of Payment
$__________ Check or Money Order (combined total for before-care and after-care) payable to MCCC Althetic Foundation  Write camper's name and Social Security number on check. DO NOT SEND CASH.
Charge to: ____ Visa
____ Mastercard
____ American Express
____ Discover
Card Number
Expiration Date
Cardholder's Name
Cardholder's Signature
Charge Amount
$________________

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.